Organization · Type 2 NPI
Healing Our Village of Maryland, Inc.
Multi-Specialty Clinic/Center · Jonesboro, GA
NPI number
1699188367
Active
Practice location
177 N Main St
Jonesboro, GA 30236-3567
Mailing address
405 Benjamin Cir
Fayetteville, GA 30214-3346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist | 103TH0100X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Podiatric Clinic/Center | 261QP1100X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1699188367
Healing Our Village of Maryland, Inc.'s National Provider Identifier is 1699188367, issued on Jun 10, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Jonesboro, GA. The record was last updated on Jun 9, 2025.